| NPI | 1265982334 |
|---|---|
| Former Name | KAYLYN ELIZABETH PLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9119787) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2025-11-04 |